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1104478460
LARISSA MAE FOX
VOORHEES, NJ
NPI
1104478460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NJ 46TR00878100)
Enumeration Date
2019-07-16
Last Update Date
2022-06-28
Business Address
LARISSA MAE FOX
113 ROUTE 73
VOORHEES, NJ 08043-9573
Phone number: 856-809-3500
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Mailing Address
LARISSA MAE FOX
655 S WILLOW ST STE 128
MANCHESTER, NH 03103-5717
Phone number: 800-995-2673
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